Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.12 / $162.52 / $310.99	Facility		$12.12	$162.52	$310.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.84 / $20.64 / $89.94	Professional		$9.84	$20.64	$89.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.99 / $12.69 / $14.18	Professional		$10.99	$12.69	$14.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.36 / $18.67 / $45.00	Professional		$13.36	$18.67	$45.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $12.44 / $16.07	Facility		$9.94	$12.44	$16.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $12.44 / $16.42	Professional		$9.94	$12.44	$16.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.02 / $13.02 / $18.91	Facility		$13.02	$13.02	$18.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $28.68 / $121.19	Professional		$14.45	$28.68	$121.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.94 / $32.34 / $32.34	Professional		$12.94	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,481.00	Facility		$50.00	$668.00	$3,481.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $18.91 / $28.22	Professional		$10.47	$18.91	$28.22